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    This document discusses the current status of viral hepatitis in Latin America and the Caribbean. It reports that hepatitis A, B, C, D, and E affect millions in the region, with hepatitis B and C causing hundreds of thousands of deaths annually. While vaccination and control efforts have made progress, challenges remain around improving surveillance systems, increasing diagnosis, treatment and monitoring, and strengthening prevention programs like vaccination and food/water safety. The Pan American Health Organization's Viral Hepatitis Working Group aims to address these challenges through regional collaboration and action planning.

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    This document discusses the current status of viral hepatitis in Latin America and the Caribbean. It reports that hepatitis A, B, C, D, and E affect millions in the region, with hepatitis B and C causing hundreds of thousands of deaths annually. While vaccination and control efforts have made progress, challenges remain around improving surveillance systems, increasing diagnosis, treatment and monitoring, and strengthening prevention programs like vaccination and food/water safety. The Pan American Health Organization's Viral Hepatitis Working Group aims to address these challenges through regional collaboration and action planning.

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    9 views8 pages

    Situation VH LAC en

    Uploaded by

    gpbiodarwins88
    This document discusses the current status of viral hepatitis in Latin America and the Caribbean. It reports that hepatitis A, B, C, D, and E affect millions in the region, with hepatitis B and C causing hundreds of thousands of deaths annually. While vaccination and control efforts have made progress, challenges remain around improving surveillance systems, increasing diagnosis, treatment and monitoring, and strengthening prevention programs like vaccination and food/water safety. The Pan American Health Organization's Viral Hepatitis Working Group aims to address these challenges through regional collaboration and action planning.

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    of 8

    Pan American Health Organization

    Viral Hepatitis Working Group

    CURRENT STATUS OF VIRAL HEPATITIS IN


    LATIN AMERICA AND THE CARIBEAN
    Hepatitis A (HVA) 57% liver cirrhosis
    78% primary liver cancer
    Hepatitis B (HVB)
    Hepatitis C (HCV)
    Hepatitis D (HVD)

    Hepatitis E (HVE)
    HEPATITIS B HEPATITIS C
    2 billion infected, 350 million chronic 150 million chronic & 350,000 deaths/year
    & 600,000 deaths/year

    In LAC… In LAC…
    • HVB vaccine introduction in Haiti in 2012 7-9 million antiHCV positive
    • Oscillating prevalences between countries

    SCREENING, DIAGNOSIS, TREATMENT &


    MONITORING
    In 2009 (LAC)…
    380,000 potential blood donors deferred
    75,000 blood donors infected with HBV/HCV
    HEPATITIS D
    Among the 2 billion HBV infected worldwide…
    15-20 million co/superinfected with HDV
    More severe forms of disease

    In LAC…
    • High prevalence in the Amazonian region
    Ex. 5.2% of HBV infected in study in Colombia

    • Genotype III: exclusive of the region

    DATA COLLECTION & RESEARCH

    DETECTION & MANAGEMENT OF CASES


    Hepatitis A (HVA)

    Hepatitis B (HVB)
    Hepatitis C (HCV)
    Hepatitis D (HVD)

    Hepatitis E (HVE)
    HEPATITIS A HEPATITIS E
    119 million infections, 31 million Emerging but unknown
    symptomatic cases & 340,000 deaths/year Outbreaks in tropical/subtropical
    regions
    In LAC…
    • Variable & low prevalences (?)
    Ex. Brazil 3%, Bolivia 1.7-16.2%
    • Some outbreak reported

    DATA & RESEARCH

    In LAC…
    VACCINATION & CONTROL
    • ≥50% (naturally) immunized at age 15
    Ex. 57% Caribbean & 94% Andean region
    Outbreaks more
    • Cases moving to older ages due to decreased endemicity likely to occur
    • Argentina
    Panama Vaccine introduced
    Uruguay
    Overall in Latin America & the Caribbean…

    IMPROVEMENT OF INFORMATION
    Need to improve data collection and surveillance
    systems
    Regional & country level

    LACK/DELAY OF DIAGNOSIS, TREATMENT & MONITORING


    Silent course of the infection
    Public & practitioners unawareness
    Availability and costs
    Recommendations evolve fast

    IMPROVE/REINFORCE PREVENTION AND CONTROL


    HAV & HBV vaccination
    Blood banks, water and food safety
    PAHO VIRAL HEPATITIS WORKING GROUP

    Meeting with Consultation of Regional


    external partners Strategy & Action Plan to
    (WDC) Member States
    2011 2012
    29-30 November 4 June- 1 July
    28 July 1-2 March 28 July
    World Hepatitis Day Regional Meeting on VH World Hepatitis Day
    commemoration (COL) commemoration

    AREAS INVOLVED
    Health Surveillance & Disease Prevention & Control (HSD)
    • Project of Communicable Diseases (HSD/CD)
    • Project of International Health Regulations, Alert and Response (HSD/IR)
    Family & Community Health (FCH)
    • Project of Immunizations (FCH/IM)
    • Project of HIV & STI (FCH/HI)
    Health Systems based on Primary Health Care (HSS)
    • Project of Medicines & Health Technologies (HSS/MT)
    Sustainable Development & Environmental Health (SDE)
    • Project of Environmental & Occupational Risks (SDE/ER)
    Knowledge Management & Communication (KMC)

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